Provider Demographics
NPI:1881976652
Name:CRUVER, ANN MARIE (RN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:CRUVER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 KOSTECZKO DR
Mailing Address - Street 2:
Mailing Address - City:WALLKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12589-3758
Mailing Address - Country:US
Mailing Address - Phone:845-895-9785
Mailing Address - Fax:
Practice Address - Street 1:8 KOSTECZKO DR
Practice Address - Street 2:
Practice Address - City:WALLKILL
Practice Address - State:NY
Practice Address - Zip Code:12589-3758
Practice Address - Country:US
Practice Address - Phone:845-895-9785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY644399163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse